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4282 Moonstone Dr - COCCity of Epp City Approved: White Copy: Property Owner 44 6. 0 -11 I ( . 17-X h-a'ai? Print name ( Signature SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: / , S I OI E D , COMPLIANCE WITH INITIAL INSPECTION 1 is to certify that the property listed above has been inspected by authorized City personnel on 6. and found to be in compliance with Section 3 40 of the City Code and no corrective work was required COMPLIANCE AFTER CORRECTIVE WORK PERFORMED Date ' t City of Evil ,2011 Ihis is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code after satisfactorily completing the required corrective repair work under (check all that apply): n City Sanitary Sewer Permit City Plumbing Permit NOTE: Applicable only [box is checked: UBased on a review of the Sewer Service video inspection /report on file, it is recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: Yellow Copy: City of Eagan (Patcet File) rev 2 23: